Provider Demographics
NPI:1477501708
Name:GOLDEN RULE MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:GOLDEN RULE MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REIMBURSEMENT MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARLEE
Authorized Official - Middle Name:C
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:803-407-5266
Mailing Address - Street 1:PO BOX 1637
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-1637
Mailing Address - Country:US
Mailing Address - Phone:803-407-5266
Mailing Address - Fax:803-407-1455
Practice Address - Street 1:7210G BROAD RIVER RD
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-7972
Practice Address - Country:US
Practice Address - Phone:803-407-5266
Practice Address - Fax:803-407-1455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC174400000X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP4467Medicaid
SC8532Medicare PIN